ATI nur330 Med Surg Exam | Nurselytic

Questions 35

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ATI nur330 Med Surg Exam Questions

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Question 1 of 5

A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?

Correct Answer: A

Rationale: Muffled heart sounds are a hallmark finding in cardiac tamponade due to fluid accumulation in the pericardial sac, which dampens the sound of the heart. Flattened neck veins are inconsistent with cardiac tamponade; distended neck veins are commonly seen. Tachycardia, not bradycardia, is a compensatory response. Lethargy is not specific to cardiac tamponade.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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